Individual
JARED JAMES HULTQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
35 W 50 S, CENTERVILLE, UT 84014-2376
(801) 827-0202
(385) 489-2243
Mailing address
PO BOX 66, HOOPER, UT 84315-0066
(801) 689-0200
(801) 689-0201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10877360-8016
UT
Other
Enumeration date
07/20/2018
Last updated
12/27/2022
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